Individual
SUSAN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9 CANTERBURY RD, CLARKSVILLE, TN 37043-5215
(615) 417-2410
Mailing address
9 CANTERBURY RD, CLARKSVILLE, TN 37043-5215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1026
TN
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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